Individual
AMY BRITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
212 PINE GROVE DR, WILMINGTON, NC 28403-5136
(910) 769-1507
Mailing address
212 PINE GROVE DR, WILMINGTON, NC 28403-5136
(910) 769-1507
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
04026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04026
NC BOARD OF MASSAGE THERAPY
NC
Enumeration date
08/23/2016
Last updated
08/23/2016
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